LISA MARIE GOURLEY

FONTANA, CA
NPI1427172741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  916500)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- LISA MARIE GOURLEY R.D.
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-7263
Mailing Address
-- LISA MARIE GOURLEY R.D.
1005 N CENTER AVE APT 7303
ONTARIO, CA 91764-4856
Phone number: 951-733-4412